Carotid Endarterectomy Questions & Answers

Updated: Jul 27, 2020
  • Author: Omar Haqqani, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Questions & Answers

Overview

What is the efficacy of carotid endarterectomy (CEA) for the prevention of stroke in patients with carotid artery disease?

Which patients should consider carotid endarterectomy (CEA)?

What are the indications for carotid endarterectomy (CEA)?

What are the AHA/ASA guidelines for use of carotid endarterectomy (CEA) in stroke prevention?

What are the contraindications for carotid endarterectomy (CEA)?

What is the anatomy relevant to performing carotid endarterectomy (CEA)?

Periprocedural Care

What is the role of imaging in preprocedural planning for carotid endarterectomy (CEA)?

How do preoperative serum cortisol levels affect the outcome of carotid endarterectomy (CEA)?

How is anesthesia administered for carotid endarterectomy (CEA)?

How is the patient positioned for carotid endarterectomy (CEA)?

What is included in monitoring and follow-up care after carotid endarterectomy (CEA)?

Technique

What video demonstrates the steps in a conventional carotid endarterectomy (CEA)?

How is the initial incision made in a carotid endarterectomy (CEA)?

What is the steps for exposure and mobilization in a conventional carotid endarterectomy (CEA)?

How is the internal carotid artery (ICA) mobilized in conventional carotid endarterectomy (CEA) in patients with a high carotid bifurcation or an extensive lesion?

How is control of the common carotid artery (CCA) maintained during a conventional carotid endarterectomy (CEA)?

How is arteriotomy and shunting accomplished during a conventional carotid endarterectomy (CEA)?

How is plaque removed in a conventional carotid endarterectomy (CEA)?

How is a conventional carotid endarterectomy (CEA) closed?

What is eversion carotid endarterectomy (eCEA)?

What is the postoperative care for carotid endarterectomy (CEA)?

What causes hypotension during carotid endarterectomy (CEA) and how is it managed?

What caused hypertension following carotid endarterectomy (CEA) and how is it treated?

What are the risk factors for wound hematoma following carotid endarterectomy (CEA)?

What causes infected false aneurysms from carotid endarterectomy (CEA)?

What is the prevalence of cranial nerve injury after carotid endarterectomy (CEA)?

What causes injury to the vagus nerve or the recurrent laryngeal nerve during carotid endarterectomy (CEA)?

What causes injury to hypoglossal nerve during carotid endarterectomy (CEA)?

What causes injury to glossopharyngeal nerve during carotid endarterectomy (CEA)?

What causes Horner syndrome during carotid endarterectomy (CEA)?

What causes injury to facial nerve branch during carotid endarterectomy (CEA)?

What are the signs and symptoms of hyperperfusion and cerebral hemorrhage following carotid endarterectomy (CEA)?

Medications

What are the goals of drug treatment during carotid endarterectomy (CEA)?

Which medications in the drug class Antiplatelet Agents are used in the treatment of Carotid Endarterectomy?

Which medications in the drug class Anticoagulants, Cardiovascular are used in the treatment of Carotid Endarterectomy?

Which medications in the drug class Antidysrhythmics, Ib are used in the treatment of Carotid Endarterectomy?